NAHRI Quarterly Call - July 25, 2023

Tue, 07/25/2023 - 15:37
Quarterly Calls
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Payer Contracting, Policies and Procedures, Program Management, Revenue Integrity

Listening to NAHRI Quarterly Conference Call (free for NAHRI members) qualifies for one CHRI CEU credit upon the completion of the accompanying survey. If you’re a NAHRI member and are interested in presenting on an upcoming NAHRI members-only call, please contact NAHRI at...

Major changes in 2024 OPPS and MPFS proposed rules

Fri, 07/21/2023
Leadership Council Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, NAHRI Leadership Council, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS released the 2024

2024 OPPS proposed rule: Major changes to price transparency requirements, covered services, and reimbursement

Wed, 07/19/2023
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is doubling down on price transparency compliance and enforcement, according to the 2024 Outpatient Prospective Payment System (OPPS) proposed rule. The proposed rule also details major changes to price transparency requirements and behavioral health reimbursement, coverage of dental services, and more.

2024 MPFS proposed rule expands telehealth and dental coverage, steep cuts to conversion factor

Wed, 07/19/2023
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is proposing a 3.4% reduction to the Medicare Part B conversion factor in the 2024 Medicare Physician Fee Schedule (MPFS) proposed rule. The agency is also floating expanded telehealth and dental coverage among numerous other changes.

NAHRI Leadership Council Meeting (07-12-23)

Thu, 07/13/2023 - 12:11
Council Resources
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, NAHRI Leadership Council, Program Management, Revenue Integrity

Download the July 2023 issue of the NAHRI Journal

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Strengthen your revenue integrity team.

2024 IPPS proposed rule: CMS signals changes for coding and reimbursement

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Take a closer look at how CMS’ proposed payment changes could impact hospital reimbursement and revenue integrity workflows.

Design for success: Reviewing chargemaster maintenance and charge capture strategies

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Revenue Integrity

Apply these expert tips to improve chargemaster maintenance and boost charge capture.

Selecting the right revenue code

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Ensure compliance and protect revenue by making the right revenue code choices

The Importance of Accurate Revenue Code Selection

Wed, 07/05/2023 - 14:32
White Papers
Billing and Claims, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Accurate revenue code selection affects concerns central to revenue integrity and the operations of healthcare provider organizations such as compliance and reimbursement. In this white paper, NAHRI Advisory Board Valerie Rinkle, MPA, CHRI, explains the importance of accurate revenue code...

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